Individual
CASSANDRA M HARDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
875 ANNETTE DR, WANTAGH, NY 11793-1005
(516) 312-1797
Mailing address
875 ANNETTE DR, WANTAGH, NY 11793-1005
(516) 312-1797
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
699993131
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
174400000X
SPECIALIST
NY
Enumeration date
01/06/2013
Last updated
01/06/2013
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